侵入性机械通风对肺微生物群的影响
Jose Luis Estela-Zape1,2, Valeria Sanclemente-Cardoza3, Maria Alejandra Espinosa-Cifuentes1
1Faculty of Health, Universidad Santiago de Cali, Cali 760035, Colombia.
侵入性机械通风 (IMV) 显著改变了肺部微生物群,减少了微生物多样性,增加了有害细菌. 这种失生症与重症患者的感染风险和死亡率更高有关.
科学领域:
- 微生物学 微生物学
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
背景情况:
- 肺部微生物群在呼吸系统健康,免疫功能和对病原体的防御方面发挥着至关重要的作用.
- 肺微生物组的变化与各种肺部疾病有关.
研究的目的:
- 为了研究侵入性机械通风 (IMV) 对肺微生物群的影响.
- 确定与IMV相关的微生物多样性和组成的特定变化.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 在PubMed,SCOPUS和Web of Science上使用术语"机械通风"和"微生物群"进行了搜索.
- 包括16项研究,证据使用MINORS尺度进行评分.
主要成果:
- IMV与肺微生物群多样性减少和致病细菌 (例如Prevotella,Streptococcus,Staphylococcus,Pseudomonas,Acinetobacter) 的流行率增加有关.
- 需要IMV的常见ICU诊断包括肺炎,急性呼吸衰竭和COVID-19.
- 由IMV诱导的失生症与更高的感染风险和死亡率相关,特别是在肺炎和COVID-19患者中.
结论:
- 侵入性机械通风显著改变呼吸道微生物群.
- 这些变化导致肺部微生物多样性减少,肺部感染和死亡风险增加.
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